In Vivo Selection of Reduced Susceptibility to Carbapenems in Acinetobacter baumannii Related to ISAba1-Mediated Overexpression of the Natural blaOXA-66 Oxacillinase Gene

被引:68
作者
Figueiredo, Samy [1 ,2 ]
Poirel, Laurent [1 ,2 ]
Croize, Jacques [3 ]
Recule, Christine [3 ]
Nordmann, Patrice [1 ,2 ]
机构
[1] Hop Bicetre, AP HP, Serv Bacteriol Virol,Fac Med, INSERM,U Emerging Resistance Antibiot 914, K Bicetre, France
[2] Univ Paris 11, K Bicetre, France
[3] DAI Pol Biol, Dept Bacteriol Microbiovigilance, Grenoble, France
关键词
HYDROLYZING OXACILLINASES; RESISTANCE; ISABA1; EXPRESSION; EMERGENCE; INSERTION; OUTBREAK;
D O I
10.1128/AAC.01663-08
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Two clonally related Acinetobacter baumannii isolates, A1 and A2, were obtained from the same patient. Isolate A2, selected after an imipenem-containing treatment, showed reduced susceptibility to carbapenems. This resistance pattern was related to insertion of the ISAba1 element upstream of the naturally occurring bla(OXA-66) carbapenemase gene as demonstrated by sequencing, reverse transcription-PCR analysis, and inactivation of the bla(OXA-66) gene.
引用
收藏
页码:2657 / 2659
页数:3
相关论文
共 16 条
[1]  
*CLIN LAB STAND I, 2008, M100S18 CLIN LAB S S
[2]   AmpC cephalosporinase hyperproduction in Acinetobacter baumannii clinical strains [J].
Corvec, S ;
Caroff, N ;
Espaze, E ;
Giraudeau, C ;
Drugeon, H ;
Reynaud, A .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2003, 52 (04) :629-635
[3]   Bacterial identification, clinical significance, and antimicrobial susceptibilities of Acinetobacter ursingii and Acinetobacter schindleri, two frequently misidentified opportunistic pathogens [J].
Dortet, Laurent ;
Legrand, Patrick ;
Soussy, Claude-James ;
Cattoir, Vincent .
JOURNAL OF CLINICAL MICROBIOLOGY, 2006, 44 (12) :4471-4478
[4]   Cephalosporinase over-expression resulting from insertion of ISAba1 in Acinetobacter baumannii [J].
Héritier, C ;
Poirel, L ;
Nordmann, P .
CLINICAL MICROBIOLOGY AND INFECTION, 2006, 12 (02) :123-130
[5]   Contribution of acquired carbapenem-hydrolyzing oxacillinases to carbapenem resistance in Acinetobacter baumannii [J].
Héritier, C ;
Poirel, L ;
Lambert, T ;
Nordmann, P .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2005, 49 (08) :3198-3202
[6]   Characterization of the naturally occurring oxacillinase of Acinetobacter baumannii [J].
Héritier, C ;
Poirel, L ;
Fournier, PE ;
Claverie, JM ;
Raoult, D ;
Nordmann, P .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2005, 49 (10) :4174-4179
[7]   Selection of topoisomerase mutations and overexpression of adeB mRNA transcripts during an outbreak of Acinetobacter baumannii [J].
Higgins, PG ;
Wisplinghoff, H ;
Stefanik, D ;
Seifert, H .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2004, 54 (04) :821-823
[8]   An OXA-66/OXA-51-like carbapenemase and possibly an efflux pump are associated with resistance to imipenem in Acinetobacter baumannii [J].
Hu, Wensi S. ;
Yao, Shu-Man ;
Fung, Chang-Phone ;
Hsieh, Yi-Ping ;
Liu, Chang-Pan ;
Lin, Jing-Fang .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2007, 51 (11) :3844-3852
[9]   Emergence of plasmid-mediated quinolone resistance in Escherichia coli in Europe [J].
Mammeri, H ;
Van de Loo, M ;
Poirel, L ;
Martinez-Martinez, L ;
Nordmann, P .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2005, 49 (01) :71-76
[10]   Functional Analysis of Insertion Sequence ISAba1, Responsible for Genomic Plasticity of Acinetobacter baumannii [J].
Mugnier, Pauline D. ;
Poirel, Laurent ;
Nordmann, Patrice .
JOURNAL OF BACTERIOLOGY, 2009, 191 (07) :2414-2418